IntroductIonThe existence of systemic disease potentially worsens the quality of life of the elderly associated with dental caries. Some studies suggest that people with diabetes, hypertension, and coronary heart disease have the worst quality of life than people without systemic disease. [1] Therefore, special attention is needed to elderly people suffering from systemic disease with high dimethyl fumarate value, so that there is a need for community empowerment to increase the knowledge toward systemic disease relationship with oral and dental health.Community empowerment is a process to improve the ability or capacity of society in utilizing the resources owned: human resources and natural resources which were available in the environment to improve the welfare of life. However, efforts are made not only to increase the capacity of the community to meet their needs but also to build a sense of community self-sufficiency to develop and have a strong motivation in participating in the empowerment process. Society, in this case, becomes the perpetrator or center of the empowerment process. [2] Aims: This empowerment aimed to provide knowledge about systemic disease correlation with oral and dental health to the cadres to convey information to the elderly group. Subjects and Methods: The method used in the community empowerment program in this elderly group was the method of counseling with lectures. Evaluation of the participants was conducted after counseling. The evaluation method was done by filling out the questionnaire and observation. Observations were made to the cadres by assessing the cadres in presenting the extension content to the extension workers. Further evaluation was done when the cadres socialized the materials independently in an elderly nursing home. Statistical analysis was carried out using SPSS 17 software (SPSS Inc., Chicago, Illinois). Results: There was an increase in posttest average compared with pretest. The mean cadre pretest result was 45.55%, the mean posttest result was 77.55%, and the mean of cadre observation result to relay extension material was 84.52%. Conclusions: The elderly understood the signs of systemic disease (diabetes mellitus, hypertension, and coronary heart) in the oral cavity through counseling of elderly cadres.
IntroductIonSememi Community Health Center is located in two areas of the former red district of Kandangan and Sememi, and they were officially closed in December 2013. The closure of these would have a major impact on the surrounding community. Impacts that arise in health sector would include the transmission of sexually transmitted infections (STIs) and HIV-AIDS. Thus, Sememi Public Health Centre held a program that aims to control STI and HIV-AIDS and improve the assistance and treatment of STI and HIV-AIDS patients. [1] HIV is a virus that attacks the immune system. During the infection, the immune system becomes weak. People living with HIV (PLHIV) become more susceptible to infection and could show symptoms of opportunistic infections. [2] Observational research was conducted in the work area Sememi Puskesmas with the observation of health centers and secondary data collection. From these activities, researchers obtained low results on the visit of PLHIV-AIDS to the dentist with 12.5%. Therefore, it would be difficult to detect the problem of teeth and mouth in PLHIV.In the results of epidemiological studies conducted at the Sememi Public Health Centre, it showed that there was an increase in the severity of caries in PLHIV. Caries could be occurred and affected by several risk factors, including the level of education, age, socioeconomic, knowledge on caries, knowledge on HIV, attitudes to caries, maintaining oral hygiene, and frequency visiting the dentists.Based on the result, researchers devised an empowerment program to overcome the high problems of caries severity in PLHIV. Empowerment program is conducted in group approaching method and counseling using visual media (book) and audiovisual (video). The aim of this Aims: The aim of the study is to actuating willingness and ability to maintain and improve dental health in people living with HIV/AIDS (PLHIV) community. Subjects and Methods: Problem finding is intervened through group approach method and using supporting media in the form of book and audiovisual. The intervention targets consisted of primary groups (PLHIV-assisted group) and secondary (visitors of public health center, junior and senior high school students) as supportive of promotive and preventive efforts. The statistical analysis for this study was done using SPSS 17 (Statistical Package for the Social Sciences) software (SPSS Inc., Chicago, Illinois). Results: This program was followed by respondents covering PLHIV group, junior and High school students that are selected as a cadrees and visitors of public health centre. There is enhancement of knowledge and skills in maintaining oral hygiene after intervention with an average before intervention of 55.33% increased to 86.67%. Conclusions: The empowerment program produces good results seen from the respondents have been able to explain and practice how to brush teeth properly and correctly after some intervention programs.
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